Sample Emergency Department Policy for Pediatric Transfusion Protocol

Resource Overview

• Provided as a sample ED policy providing standardized guidance for safe, evidence-based pediatric transfusions, including massive transfusion protocols (MTP), product selection, monitoring, and post-transfusion care.
• Covers indications for RBCs, platelets, plasma, and cryoprecipitate; activation and management of MTP; and special pediatric considerations such as TACO, hypocalcemia, and hypothermia.
• Includes documentation requirements, verification procedures, quality monitoring, staff training, and adverse reaction management.

How to Use This Resource

• Adapt consultation criteria, consent language, and documentation processes to align with your state laws, credentialing requirements, and telehealth platforms.
• Incorporate telemedicine workflows into ED protocols, staff training, and escalation pathways for pediatric patients.
• Use as a framework to monitor consult utilization, transfer avoidance, response times, and family/provider satisfaction.